肌筋膜疼痛综合征患者治疗动态中的咀嚼肌功能评估

E. Yarygina, V. V. Shkarin, Y. Makedonova, A. A. Avetisyan, O. Afanasyeva, L. A. Devyatchenko
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摘要

相关性。肌筋膜疼痛综合征(MPS)通常会发展为慢性形式,用现有方法治疗具有挑战性。尽管牙医们在发病机制、诊断和治疗领域做出了巨大努力,但这一问题众所周知,并经常导致患者感到沮丧。大多数治疗方案都侧重于使生理参数正常化,如恢复咀嚼功能、实现稳定的咬合关系、减轻疼痛和提高这些患者的心理健康水平。因此,在治疗过程中评估功能活动和监测咀嚼肌状况的非侵入性诊断方法至关重要。本研究旨在满足这一需求。对 64 名肌筋膜疼痛综合征患者的检查和治疗分临床和肌电图两个阶段进行。在临床检查中,评估了触诊时咀嚼肌的触痛和张口程度。肌电图研究也分两个阶段进行。第一阶段评估左右两侧咀嚼肌和颞肌的平均振幅和总生物电位。第二阶段评估咀嚼肌的对称指数以及扭转和咀嚼肌指数。第一组接受常规治疗和激光治疗,第二组在常规治疗的基础上接受臭氧治疗和运动疗法。在 14 天的短期观察中,两组患者都取得了积极的效果。然而,与基线值相比,接受臭氧疗法和运动学绑带疗法的患者在第三天的观察中各项指标均有显著改善。在诊断这种病症时,建议将肌电图纳入检查方案,以便对咀嚼肌的功能活动进行无创评估。治疗肌筋膜疼痛综合征时,建议采用具有消炎、镇痛和肌肉松弛作用的微创方法。虽然所有治疗方法都取得了良好的效果,但臭氧疗法结合肌力绑带能有效消除这类患者的主观和客观症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of masticatory muscle function in the treatment dynamics of patients with myofascial pain syndrome
Relevance. Myofascial pain syndrome (MPS) often progresses to a chronic form that is challenging to treat with established methods. This issue is well known to dentists and frequently leads to frustration despite significant efforts to advance knowledge in the fields of etiopathogenesis, diagnosis, and therapy. Most treatment protocols focus on normalizing physiological parameters, such as restoring masticatory function, achieving stable occlusal relationships, alleviating pain, and enhancing the psychological well-being of these patients. Therefore, the need for non-invasive diagnostics to assess functional activity and monitor the condition of masticatory muscles during treatment is crucial. This study aims to address this need.Materials and methods. The examination and treatment of 64 patients with myofascial pain syndrome were conducted in two stages—clinical and electromyographic. During the clinical examination, tenderness of the masticatory muscles during palpation and the degree of mouth opening were assessed. The electromyographic research was also conducted in two stages. The first stage assessed the average amplitude and total biopotential of the masticatory and temporal muscles on both the right and left sides. The second stage evaluated the symmetry index of the masticatory muscles, as well as torsion and masseter indices. The first group received conventional treatment combined with laser therapy, while the second group received ozone therapy and kinesiology taping in addition to the conventional therapy.Results. In the short-term observations over 14 days, both groups achieved positive results. However, patients undergoing ozone therapy and kinesiology taping showed statistically significant improvements in their parameters by the third day of observation compared to their baseline values.Conclusion. For diagnosing this pathology, it is advisable to incorporate electromyography into the examination protocol to allow non-invasive evaluation of the functional activity of the masticatory muscles. For treating myofascial pain syndrome, minimally invasive methods with anti-inflammatory, analgesic, and muscle relaxant effects are recommended. While all treatment methods yielded favorable results, ozone therapy combined with kinesiology taping effectively eliminated both subjective and objective symptoms in this patient category.
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